Case Study : A Patient Care Coordinator At Kaiser Permanente

Reinvest current net income into interest accounts for future variable health care costs for years to come

The Case Management program is offered by Kaiser Permanente to support members with complex medical, psychosocial, and care management essentials. This specialized service is provided by case managers. The case managers are either Registered Nurses who are certified in case management or qualified Social Workers. Case managers provide necessary information and education to promote understanding, reduce the chance of possible complications, and facilitate effective and proper delivery of care and services.

Prior to her current role, she worked as an Assistant Director of Nursing for over 5 years at Sun Air Convalescent Hospital and a Sub-Acute coordinator for 1 year. She has been working now at Berkley Valley Convalescent Hospital as Director of Nursing for over 20

The interview of a case manager is designed to give students the chance to create an opportunity of interaction with case management. During the interview, the focus is to establish connection in understanding the purpose of their duty, adapted theory of function, ability to maintain self-poise, intellectual thinking process to maneuver from one case load to another, and demand of the population to whom the service benefits. The interview process provides an overview adjustment to distinguish the relevance between the provider mission statement in contrast with the employee who transforms the vision to concrete, workable possibilities of wonders while helping the client. The reinforcement of speaking live with a case management employee helps to understand the purpose, the process of initiating help, and placing individuals with community resources to help support individual needs.

According to an article published in Case Management Advisor (2008), education assists case managers with being as knowledgeable as possible to identify and coordinate all the resources that their patients need and continued education is an ethical responsibility of a case manager. The article also suggests that advocacy is an ethical responsibility of a case manager. When advocacy is forgotten ethical issues occur. Fraser and Strang (2004) explain that case managers must be given the tools to allow them to function in their role with confidence and competence to act as strong advocates for their patients. Support for decision making is also a key component of case management. Coffman (2001) offers key points from The Code of Professional Conduct for Case Managers advising that case managers are guided by the principle of autonom. Case mangers achieve autonomy through advocacy. If case managers are expected to function with complete autonomy, then case managers require the assusrance that their leader ship will support them when difficult decisions have to be made, (Fraser and Strang, 2004). The concept of employer employees explains that by involving employees in developing the mission and values of the company, this allows employees feel empowered (Porter-O’Grady & Malloch, 2007). By allowing the case manager to be part of the development of the

Michael is a Case Manager within Spectrum Health hospitals and has been for four years. Michael is twenty-eight years old and enjoys doing his job although he has stated that it can be difficult at times. Michael stated that sometimes there is over time when other employees call in and case load can be heavy at times. Michael stated that every so often he has to wear a pager so employees within the hospital can get ahold of them when emergent issues arise. On call is every third weekend and

Case management is a continuous balancing act of judgment calls, making ethical choices, getting along with coworkers, and following legal protocol. It is the duty of the case manager to know how to develop a relationship with both clients and coworkers while still maintain their professionalism. The healthcare professional must always leave their personal opinions at home and provide the same quality of care to all their clients regardless if they have different views, religion, sexual orientations, or cultures. The case manager needs to ensure that the client’s concerns will be put first no matter what, and should also clarify that the as the professional he or she will do all that is necessary to provide the best quality of care to their client.

Case managers play such a key role in the health systems that they are almost considered as the face of patient care.

Established in the 1930s by Henry J. Kaiser and Dr. Sidney as a health care program for construction, shipyard, and steel mill employees, in 1945 Kaiser Permanente (KP) opened enrollment to the public (Our History, 2016). Despite many challenges and setbacks, KP has grown to become one of the largest leading healthcare providers (SPEC Associates, 2011; "Labor Management," n.d.). However, is KP ready to meet the health care needs of citizens in the next decade? This paper will delve into KP to assess their readiness as well as their strategic plans regarding network growth, adequately staffing nurses, managing resources, and maintaining patient satisfaction.

The Kansas Association of Health Care Communicators is a group of health care communications professionals dedicated to improving communication with our communities, health care employees, physicians, media and more. KAHCC provides the following benefits for new and experienced communication professionals: two educational seminars; networking with peers; and membership directory; and online list

In addition to the core Care Management end-user training for case managers, this paper documents training and knowledge transfer sessions that were conducted for:

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.

Providing quality delivery care is the cornerstone of Kaiser operation and addressing language needs of the diverse communities it serves is receiving attention from the National Diversity and Inclusion Office. Kaiser’s National Diversity and Inclusion was established with the objective to promote, support, and assist the regions in implementing the Kaiser Permanente Board of Directors agenda in providing culturally competent medical care and culturally appropriate services to improve the health and satisfaction of its members.

According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and

As a health care administrator there are many challenges that have to be faced. Health care administrators have to deal with a very demanding career with all things health care on a constant change. The changing of health care with new developments is what causes health care administrators to have such a tough job. They have to make sure that they stay up to date on the changes happening. The main two challenges that I think will be faced is communication to employees and staying up to date with trending health care issues.